Remote Medical Director

Overview

The Remote Medical Director will play a crucial role in leading medical management and quality improvement initiatives for a large healthcare organization, ensuring high-quality care for members.

In Short

• Direct and coordinate medical management and credentialing functions.
• Provide medical leadership for utilization management and quality improvement.
• Perform medical reviews of complex cases and ensure timely decision-making.
• Collaborate with clinical teams and network providers.
• Assist in the development of physician education on clinical issues.
• Conduct regular assessments of high-risk patients.
• Participate in provider network development and market expansion.
• Identify and evaluate trends in medical service utilization.
• Represent the business unit at various committees.
• May require working weekends and holidays as needed.

Requirements

• Medical Doctor or Doctor of Osteopathy degree.
• Utilization Management experience preferred.
• Board certification in a recognized medical specialty.
• Current state license as MD or DO without restrictions.
• Experience with culturally diverse populations is advantageous.
• Knowledge of quality accreditation standards is preferred.
• Coursework in Health Administration or related fields is a plus.
• Active practice of medicine is required.

Benefits

• Competitive pay and health insurance.
• 401K and stock purchase plans.
• Tuition reimbursement.
• Paid time off plus holidays.
• Flexible work schedules including remote options.
• Commitment to diversity and equal opportunity employment.